1
Quilt Pattern ___________________
ID# __________
WISCONSIN QUILT HISTORY PROJECT DOCUMENTATION FORM
Date _______________________________
Place ______________________________
Interviewer ________________________
Please fill in everything you know. If you don't know, just leave it blank.
Quilt Owner:
Address:
Phone Number:
Email Address:
Quilt Pattern:
Quilter's Ethnic Heritage:
Who made this quilt? (include maiden name):
Gender: Female
Male
Group
If made by group, group's founding date and/or
ending date (if applicable):
Birth date of quilter:
Marriage date of quilter:
Death date (if applicable):
Highest level of education (circle one):
 none
 grammar
 middle school
 high school
 college post-graduate doctorate
 other (please explain)
Religious affiliation of quilter:
Occupation (if retired, former occupation):
Quiltmaker's birth city and/or county:
Quiltmaker's birth state or province:
Quiltmaker's country of birth:
Kind of environment in which quiltmaker grew
up (circle one): rural urban
Are there photographs of the quiltmaker, and
where are they located?
Quiltmaker's father's name:
Quiltmaker's father's birthplace:
Quiltmaker's father's ethnic background:
Quiltmaker's mother's name:
Quiltmaker's mother's birthplace:
Quiltmaker's mother's ethnic background
Quiltmaker's Spouse's or spouses' name(s):
2
Quilt Pattern ___________________
ID# __________
Spouse's or spouses ethnic background(s):
Quiltmaker's number of children:
boys
girls
How did the quiltmaker learn to quilt? (circle)
 Class Friend
 Guild or club member
 Home Extension agent
 Relative
 TV Show
 4-H
 Self-Taught
 Other:
When did the quiltmaker learn to quilt? (circle)
 Under age 10
 11-19
 20-29
 30-39
 40-49
 50 or over
 After an illness
 After raising children
 After retiring
Why did/does quiltmaker quilt? (circle all that
apply)
 church
 fundraising
 gifts
 income
 necessity pleasure
 therapy
 other
Estimate number of quilts made by this quilter:
(circle)
 1-5 quilts
 5-20 quilts
 25-50 quilts
 more than 50
Does/did the quiltmaker sell quilts? Yes No
If yes, what price was charged for the quilts?
Does/did the quiltmaker teach quilting: (circle)
yes no only informally
Any notes or stories about the quiltmaker: (can Any known sources (printed) for the quiltmaker
continue on separate sheet)
(can continue on separate sheet)
Who made the top of this quilt?
If the quilt was made by a group, please write
the group name here:
Who quilted this quilt?
Names of anyone else who worked on or helped
with this quilt:
Where was this quilt made?
City:
County:
Reservation:
State or Province:
Country:
3
Quilt Pattern ___________________
How was this quilt was acquired by the
owner? (circle):
 gift
 inheritance
 made by owner
 presentation/award
 purchase
 raffle or contest prize
 unknown
 other:
ID# __________
Any additional stories or notes about the quilt's
ownership or history? (can continue on separate
sheet)
Quiltmaker’s reasons for making quilt (circle): Quilt was originally designed to be used as
 art or personal expression
(circle):
 anniversary
 artwork/wall quilt
 autograph or friendship
 bedding/daily use
 baby or crib
 bedding/special occasion
 commemorative
 decorative throw
 challenge or contest entry
 doll quilt/toy
 fundraising
 lap robe/shawl
 gift or presentation
 pillow cover/sham
 home decoration
 unknown
 memorial
 other:
 mourning
 personal income
 reunion
 therapy
 teaching or learning sample
 wedding
 unknown
 not described
 other:
Where did the quiltmaker get the fabric used
in this quilt? (circle)
 feed or flour sacks
 old clothes
 other quilts
 purchased new
 sewing scraps
 traded for
 unknown
 other
4
Quilt Pattern ___________________
ID# __________
Where did the quiltmaker get the pattern for
the quilt top?
Where did the quiltmaker get the design for the
quilting?
Quilt top pattern source (circle):
 Another quilt
 Original to maker
 Commercial/published book
 Provided in a class
 Commercial/published magazine
 Public Domain/traditional pattern
 Commercial/published newspaper
 Round robin exchange
 Commercial/published pattern
 Traditional pattern variation
 Commercial/published kit
 Unknown
 Commercial/published source: computer
software
 Other:
Quilting design pattern source (circle):
 Another quilt
 commercial pattern
 computer software
 kit
 original to the maker
 published material
 public domain
 unknown
 other
Commercial pattern source name:
Commercial quilting design source name:
Each quilt is unique. Any additional stories
about the quilt's design or materials source:
Exhibit history of the quilt:
please provide copy of list of exhibits or list on
separate sheet
Contests in which this quilt was entered:
please provide a copy of contests entered or list on
back of sheet
If this quilt were selected for a museum exhibit, I give my permission to have photographs of this
would the owner be willing to lend it for several quilt taken and used for educational purposes.
months or a year being assured that great care
would be taken? (circle):
yes no not sure
Signature of Quilt Owner or Representative
5
Quilt Pattern ___________________
ID# __________
Quilt Description
Type of quilt object (circle):
finished quilt quilt blocks or pieces quilt top
with unfinished edges quilted garment summer
spread other
Quilt title:
Owner’s name for quilt’s pattern:
Alternate name(s) for quilt’s pattern in common
use:
Brackman encyclopedia number:
Overall width measurement:
Overall length measurement:
Shape of quilt edge (circle):
 embellished or trimmed (some type of
decorative edging added)
 rounded
 sawtooth
 scalloped
 straight
 t-cutout
 other:
Predominant colors (circle all that apply):
 beige or tan
 black
 blue or navy
 brown
 burgundy
 coral cream
 fuchsia
 gold
 gray
 green
 lavender
 maroon
 orange
 pink
 purple
 red
 rust
 turquoise or teal
 white
 yellow
Quilt specific colors (circle all that apply):
Bubblegum pink
butterscotch
cadet blue
cheddar orange or antimony or chrome orange
chocolate brown or Hershey brown
chrome green
chrome yellow
claret or wine
double pink
indigo blue Lancaster blue
madder brown
madder red or cinnamon red
madder orange
manganese bronze
Nile green
Prussian blue or Lafayette blue turkey red
Overall color scheme (circle):
 multicolor
 one color/monochromatic
 two color
 light or pastel colors
 bright or primary colors
 dark colors
Overall condition (circle):
Excellent/like new: no stains, holes, fading or
6
Quilt Pattern ___________________







Excellent/like new
very good
almost new
good/moderate use
fair/worn
poor/very worn
unknown/not rated
ID# __________
wear. No repairs. All seams and stitching intact.
Very good/almost new: Quilt may have minimal
fading or staining, no holes, tears, or fabric loss.
All stitching and seams are intact. May have slight
batting shift.
Good/moderate use: Some staining, fading or
discoloration noted. May have some age
appropriate wear to fabrics or binding. May have
some loose stitching. May have been repaired.
May have a batting shift.
Fair/worn: Has faded, wear, or staining, May have
some tears, holes or fabric loss. May have loose
stitches or open seams. May have shifted batting or
small amounts exposed.
Poor/very worn: Obvious fading, wear or staining.
May have serious tears, holes, fraying or fabric
Damage to quilt (circle all that apply):
dirty discoloration or dyes ran, disintegration of
fabric distortion or shrinkage fading
fold marks or creases insect damage mildew
open seams pencil/pen or marking lines
quilting threads broken ties missing stains
tears or holes
uneven batting wear to edge or binding other:
Repairs to quilt (circle all that apply):
cut down to smaller size patched with new fabrics
patched with period fabrics rebound stabilized
with netting tear or hole sewn together other
Comments or notes on quilt's condition or
repair history:
Is there an inscription (label, dates, names,
identification, etc.)?
Yes
No
Content of inscription(s) including all dates
(can continue on back of page 8 or on separate
sheet):
Date of Inscription:
Method of inscription (circle all that apply):
attached label
computer generated
embroidery
in the quilting
ink
pencil
printed in the fabric stamped
stencil
typewriter
other
Location of the inscription (circle):
 multiple locations
 on back
 on block
 on border
 other
7
Time period (circle one):
pre-1799
1800-1849
1876-1900
1901-1929
1950-1975
1976-1999
2026-2050
Timespan
Quilt Pattern ___________________
ID# __________
Date quilt was begun (actual or estimated):
1850-1875
1930-1949
2000-2025
Date quilt was finished (actual or estimate):
Family/owner’s date for the quilt (actual or
estimated):
Other external or professional date estimation: Other date estimation by whom:
Further information concerning date(s):
Quilt top description, Layout Format (circle):
block pattern
crazy
horizontal bands
horizontal strip
medallion or framed center
nontraditional or art
one patch or allover
pictorial
vertical bands
vertical strip
wholecloth
other
Quilt Subject, if it has one:
Number of blocks:
Size of blocks (L x W):
Number of different block patterns present
Arrangement of blocks/block orientation
(circle):
 straight
 on point or rotated 45 degrees
 rotated, but less than 45 degrees
Spacing relative to other blocks (circle):

Alternating with plain squares,

Bands or horizontal strippy (in horizontal rows
separated by plain horizontal bars),

Separated by plain sashing,

Separated by appliquéd pattern sashing,

Separated by diagonal sashing,

Separated by floated or random sashing
(size of sashing pieces varies visually in length
and/or width),

Separated by garden maze sashing,

Separated by inner and outer sashing
(sashing surrounds all sides of all blocks)

Separated by inner only sashing
(no sashing along outer edge of outer blocks)

Separated by pieced pattern sashing

Side by side

Strippy or vertical bands
(in vertical rows separated by plain vertical bars)

Other
Block style (circle):
Medallion Size (Length x width):
8
diamonds
sampler
other
Quilt Pattern ___________________
hexagons
squares
ID# __________
same block throughout
triangles
Sashing width:
Number of borders, width and description of
each border from outside to inside:
Quilt top materials and construction
Fiber types used in quilt top only:
 cotton
 cotton or polyester blend
 linen
 polyester
 rayon
 silk
 wool
 other blends
 other synthetic
 unknown
other
Fiber types used in quilt top only:
Fabric patterns, styles, motifs, or print
categories used in the quilt top only:
 cheater/preprinted design
 batiks
 checked
 conversation prints
 dotted
 feedsack
 floral
 geometric
 hand-dyed
 mourning prints
 multiple scrap
 novelty
 paisley
 plaid
 premium type
 print
 printed patchwork
 solid/plain
 stamped
 striped
 unknown
other
Construction techniques used in quilt top:
piecing techniques (circle):
Construction techniques used in quilt top:
Construction techniques used in quilt top:
















broadcloth
chintz
flannel
feedsack
glazed
handwoven
muslin sateen
satin
velvet
unknown
other
English template piecing
foundation piecing
hand piecing
machine piecing
strip/string piecing
other piecing
9
Quilt Pattern ___________________
appliqué techniques (circle all that apply):
 Blanket buttonhole or other decorative
appliqué stitch
 fusible appliqué
 hand appliqué
 machine appliqué
 reverse appliqué
 other appliqué
ID# __________
novelty techniques:







biscuit
cathedral window
folding
Dimensional appliqué
gathering/ruching
yo-yo
other novelty techniques
Construction techniques used in quilt top,
Embellishment materials used in top (circle):
embellishment techniques (circle all that apply):
 beads attached
 buttons attached
 attachments (beading, charms, buttons,
 charms attached
etc.) embroidery
 chenille thread
 ink drawing
 cotton thread
 painting
 metallic thread
 photography/photo transfer
 ribbon thread
 other embellishment techniques
 silk thread
 synthetic thread
 wool thread
 can’t tell
 other attachments
 other embroidery
Contains paper remains (circle): yes no
Quilt Back, materials and construction
Fabric fiber types used in quilt back (circle):










Color of quilt back (circle):





beige or tan
black
blue or navy
brown
burgundy
cotton
cotton or polyester blend
flannel
linen
satin/sateen
silk
synthetic
wool
woven or homespun
other
Description of quilt back (circle):





back art/design on back
different fabrics
hand sewn
machine sewn
print
10
Quilt Pattern ___________________
















coral
cream
fuchsia
gold
gray
green
lavender
maroon
orange
pink
purple
red
rust
turquoise or teal
white
yellow
ID# __________
 reversible
 same fabric used throughout
 solid/plain
Number of pieces in quilt back:
Width of pieces:
Quilt binding, materials used (circle):
cotton
cotton or polyester
linen
silk
wool
other
Fabric structure used in binding (circle):
plain weave
twill weave
satin
sateen
flannel
knit
velvet
unknown
other
Construction techniques used in binding (circle
all that apply):
back turned to front
bias grain
commercial
cording
edges turned in/no separate binding
fringe
front turned to back
hand sewn
home cut
lace
machine sewn
prairie points
ribbon
ruffles
straight grain
unfinished/raw edge woven tape
other
Width of binding (circle):
Quilt batting: material used (circle):
 another quilt
 blanket or flannel
 cotton
 cotton or polyester blend
 polyester
 sheet
 wool
 no filling
Batting loft (circle):
less than a half inch
half inch-one inch
greater than one inch
thin (less than 3/16”)
medium (3/16”)
thick (More than 3/16”)
11
Quilt Pattern ___________________
 cannot tell
ID# __________
other
Quilting techniques used (circle):
 corded
 hand quilting
 machine quilting
 not quilted
 stuffed work
 tied or tufted
 other
Thread color:
Knots visible (circle) yes no
Width, in inches, between the quilting lines:
Number of quilting stitches per inch, counting
top only in two different places:
Quilting designs used, motifs and overall
patterns (circle all that apply):
 All-over-design
 clamshell
 Double parallel lines
 echo
 elbow/fan
 grid/crosshatch
 grid diamond
 grid square
 in-the-ditch
 meander/free motion
 outline patches
 outline/in-the-ditch
 single parallel lines
 stipple
 triple parallel lines
 other
Place #1:
Place #2:
Quilting designs used, decorative patterns
(circle all that apply):
cables
fans
feathering
floral
vines
wreaths
other
Any other features or notes about the quilt’s
appearance, materials or construction:
Notes:
Quilting designs used, background patterns
(circle all that apply):
grid/crosshatch
meander
parallel lines
stipple
none
other